A: Nope, we're not completely new people. In fact, most of our cells are a good seven to ten years old, as biologist Jonas Frisén, professor at the Karolinska Institute in Stockholm, reported in July 2005. For instance, we grow a new skeleton over about a 10-year period.
Lifetime
cells: The photographer's new born has cortex neurons, heart muscle cells
and eye lens cells she will still have the day she dies. Photos courtesy of Ernest F.
and Wikipedia.Moreover, at 95 we will have three kinds of cells we had since three years of age and, indeed, since before birth. They last a lifetime:
"I wouldn't necessarily single out cerebral cortex neurons as lasting a lifetime because it's probably true that most neurons in the entire adult brain were generated during development," emails neuroscientist Elizabeth Gould professor of psychology at Princeton.
The brain can repair and renew itself, but most of the cells in the cerebral cortex and the brain last a lifetime. We used to think that the cerebral cortex nerve cells remained unchanged. Now we know better. Brain cells, even in the cerebral cortex, renew themselves. In 1999, Frisén startled the neuroscience community by announcing he had found stem cells in the brain. Stem cells create new cells and, in this case, new brain cells.
Now, however, Frisén seems to have changed his thinking. "My estimate is that 100% of cortical neurons stay with us from birth," he emails.
That's probably true, but doesn't rule out the possibility that the brain also makes new cells. "Two very different types of cells live a life time. Hence, your brain has both fully differentiated neurons that live a lifetime, and 'stem cells' that continue to make new brain cells," clarifies researcher Gail W. Sullivan (retired assistant professor at the Cardiovascular Research Center in Charlottesville, Virginia).
The heart is still more controversial. Most heart muscle cells probably stay with us, from birth. Again, like the cerebral cortex, recently we believed heart muscle remained unchanged throughout a lifetime. However, cardiovascular researcher Piero Anversa has found stem cells in rat hearts and new heart muscle cells.
The crystalline lens in our eyes has innermost cells that last a lifetime. Lens cells are like skin cells in structure, but are totally unlike skin in lifespan. The skin renews itself daily; whereas the lens never loses cells. The lens does add more cells to the outside of the lens, but the oldest, inside ones have been there since before birth.

Finally, there's the story of the immortal stem-cell DNA, which begins with the fertilized human egg, at conception. The fertilized egg divides repeatedly to form ten cells: the inside and outside cells. The inside cells divide more, and become the embryo.
Each inside cell is a stem cell that can form any of the 220 kinds of cells in the body — heart, brain, T-cell — whatever. These remarkable embryonic stem cells don't last a lifetime, but their DNA does.
An ordinary cell splits to form two daughter cells, and duplicates its DNA so each daughter cell gets a copy. But over a lifetime, as a cell reproduces perhaps thousands of times, duplication errors can build up, and cause trouble. The embryonic stem cell, consequently, doesn't do it this way, as Shahragim Tajbakhsh of the Pasteur Institute in Paris recently discovered.
The stem cell splits into two daughter cells (as does an ordinary cell), but instead of creating two ordinary cells, it forms another stem cell and a specialized cell (for example, a heart cell). Now, the crucial difference — the stem cell retains the original DNA strands, and makes a DNA copy only for the specialized cell. So, the DNA of the original fertilized egg lasts from conception to death.
Click for an animated demonstration of how an animal cell splits to form two daughter cells, courtesy of Cells Alive.
Live and death of cells, WonderQuest
The reinvention of self by Jonah Lehrer, SeedMagazine.com, February 2006
Muscle cells in hearts may divide by J. Brainard, Science News Online, July 1998
Heart rehab, ScienCentral News, February 2007
Ultrastructure of vertebrate lenses by Pertti Malkki and Ronald Körger, Vision Group of Lund University
Molecular expressions galleria by Michael Davidson, Florida State University
Immortal DNA in skeletal muscle stem cells, InformationHospitaliere.com, June 2006.
Human embryonic stem cells: a primer by Scott Gilbert, Swarthmore College.
Your body is younger than you think by Nicholas Wade, New York Times, August 2005
(Answered April 2, 2007)